Key result
High adherence (>85%) to an ERAS protocol in elective colorectal surgery was associated with a significantly lower length of stay compared to adherence <85% (P<0.028).
Why the study?
The study was designed to evaluate adherence to a newly adopted ERAS program in a nonspecialized center and assess its impact on postoperative outcomes.
Does high adherence to an ERAS protocol improve postoperative outcomes in patients undergoing elective colorectal surgery?
Cohort (n=150)
No
Does high adherence to an ERAS protocol improve postoperative outcomes in patients undergoing elective colorectal surgery?
p-value: p=<0.028
High adherence to an ERAS protocol in elective colorectal surgery is achievable in nonspecialized centers and is associated with a reduced length of hospital stay.
High ERAS adherence may shorten colorectal stays; leaves open causal confirmation and practice change pending RCTs.
Background: The purpose of the study was to analyze the adherence to a newly adopted Enhanced Recovery After Surgery (ERAS) program in a nonspecialized center as well as its impact on postoperative outcomes. Methods: All patients who underwent elective colorectal surgery within ERAS protocol in the study period were enrolled. The sample was divided into group 1 (patients with protocol adherence < 85%) and group 2 (patients with protocol adherence > 85%). Clinical outcomes in terms of postoperative complications, readmission, reoperation rates, and length of stay were evaluated in the two groups. Results: A total of 150 patients were included in the study. All procedures were performed laparoscopically (99.3%) except for one case. The overall adherence rate to the ERAS protocol components was 88.0 ± 10.5% and the overall length of stay was 5.9 ± 3.3 days. Group 2 (n = 101) experienced lower length of stay than group 1 (n = 49) (P < 0.028). No differences in postoperative complications, readmission, and reoperation rates were observed between the two groups. Conclusions: The implementation methods were effective in achieving relevant adherence rate and the newly adopted ERAS program applicable even in nonspecialized centers.
No takes yet. Share an insight, caveat, or question.
Pandolfini et al. (2022) conducted a cohort in Elective colorectal surgery (n=150). ERAS protocol adherence > 85% vs. ERAS protocol adherence < 85% was evaluated on Length of stay (p=<0.028). High adherence (>85%) to an ERAS protocol in elective colorectal surgery was associated with a significantly lower length of stay compared to adherence <85% (P<0.028).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: